Avaliação da cultura de segurança do paciente na Atenção Primária à Saúde: identificando oportunidades de melhorias

Abstract

INTRODUCTION: Patient safety is a widely studied topic in the current context. Despite the growing interest in the subject, the lack of awareness about the problem is still widespread, so the importance of working on this issue is great in order to reduce the damage and adverse events caused by health care.This research aims to evaluate the patient safety culture in the Primary Care Network of CurraisNovos-RN, in order to identify the strengths and opportunities for improvement.This work, a pioneer in the Seridó region, could become a reference for the improvement of the health system, as well as directly impacting the training of Multiprofessional Residency practioner, medical and nursing students linked to the Multicampi School of Medical Sciences and the Trairí School of Health Sciences, by the Federal University of Rio Grande do Norte, who develop their internships and activities in the Basic Health Units in question.METHODOLOGY: Observational research with a quantitative approach, for which we used the Medical Office Survey on Patient Safety Culture questionnaire, translated, adapted and validated by Timm & Rodrigues (2016), to evaluate the patient safety culture in Primary Care in Brazil. applied to the effective professionals of the Family Health Teams of the urban area of the municipality.RESULTS: The sections on information exchange with other institutions and support from managers, administrators and leaders averaged positive responses below 50%; Regarding patient safety and quality questions, the average of positive answers reached 55.7%; in terms related to work in health services, this average was 65.6%, while the communication and monitoring and global evaluation sections had the highest averages, totaling 77.5% and 87.8% positive answers for patient safety. respectively.The analyzed data highlighted weaknesses and potentialities to support local management suggestions, to improve the patient safety culture in the primary care in question.CONCLUSION: The general perception of professionals about safety in PHC of CurraisNovos pointed out as strengths those related to communication, monitoring and evaluation; On the other hand, weaknesses were observed in the exchange of information with other institutions and, as a critical point, the support and manager`s assistance, administrators and leaders stand out.